Individual
COLLEEN M SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1160 SW SIMPSON AVE, STE 200, BEND, OR 97702-3542
(541) 322-9045
(541) 322-9044
Mailing address
805 SW INDUSTRIAL WAY, STE 3, BEND, OR 97702-1093
(541) 585-2541
(541) 585-2536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60371
OR
225100000X
Physical Therapist
PT00006727
WA
Other
Enumeration date
05/31/2006
Last updated
11/18/2013
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